Preferred Care Network
Preferred Care Network is a payer organization operating in Florida. For an ASC, what matters isn't the logo. It's how Preferred Care Network pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Preferred Care Network analysis
Tell us where to send it. Our team will prepare an analysis of Preferred Care Network covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Preferred Care Network pays
See how Preferred Care Network reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Preferred Care Network's presence spans Florida. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Preferred Care Network and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Preferred Care Network's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Preferred Care Network up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Preferred Care Network
- Payer ID
- 78857 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Preferred Care Network through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Preferred Care Network members are verified before the date of service, through a clearinghouse using payer ID 78857or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Preferred Care Network directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Preferred Care Network the way it pays.
- What is Preferred Care Network's payer ID?
- Preferred Care Network's electronic payer ID is 78857. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Preferred Care Network through a clearinghouse.
- How do ASCs verify eligibility for Preferred Care Network members?
- Eligibility and benefits for Preferred Care Network members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 78857) or through the payer's provider portal.
- Does Preferred Care Network require prior authorization for ASC procedures?
- Prior-authorization requirements for Preferred Care Network are set per plan and per procedure. Confirm whether an authorization is required with Preferred Care Network directly before the date of service.
- What type of payer is Preferred Care Network?
- Preferred Care Network is a payer organization operating in Florida.
- How does Preferred Care Network compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Preferred Care Network pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Preferred Care Network paying my ASC below market?
- Put your own Preferred Care Network contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.